| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
|
27,789 |
24,012 |
$5.40M |
| 99283 |
|
17,708 |
15,913 |
$3.14M |
| 96361 |
|
12,970 |
10,160 |
$3.04M |
| 99282 |
|
10,169 |
9,165 |
$1.70M |
| 99285 |
|
7,304 |
6,515 |
$1.66M |
| 41899 |
|
868 |
832 |
$1.64M |
| 74177 |
|
4,968 |
4,478 |
$1.16M |
| G0378 |
Hospital observation per hr |
4,036 |
3,238 |
$993K |
| 70450 |
|
4,503 |
4,103 |
$972K |
| 96360 |
|
4,120 |
3,545 |
$566K |
| 71275 |
|
1,612 |
1,455 |
$416K |
| 96365 |
|
3,749 |
3,093 |
$364K |
| 74176 |
|
1,457 |
1,353 |
$320K |
| 93306 |
|
812 |
754 |
$275K |
| 43239 |
|
447 |
423 |
$273K |
| 0241U |
|
4,262 |
4,020 |
$267K |
| 96366 |
|
1,188 |
741 |
$237K |
| 99291 |
|
836 |
797 |
$212K |
| 97110 |
|
4,961 |
1,794 |
$193K |
| 76705 |
|
2,074 |
1,898 |
$189K |
| 76830 |
|
1,798 |
1,666 |
$182K |
| 76856 |
|
2,142 |
1,993 |
$179K |
| G0463 |
Hospital outpt clinic visit |
1,163 |
857 |
$130K |
| 80053 |
|
29,025 |
23,293 |
$118K |
| 93971 |
|
1,191 |
1,075 |
$115K |
| 76817 |
|
980 |
845 |
$115K |
| 76700 |
|
606 |
591 |
$102K |
| 97150 |
|
2,640 |
790 |
$98K |
| 72148 |
|
338 |
328 |
$83K |
| 76770 |
|
521 |
501 |
$74K |
| 76801 |
|
1,443 |
1,254 |
$66K |
| U0003 |
Cov-19 amp prb hgh thruput |
2,384 |
2,150 |
$64K |
| 97140 |
|
3,490 |
1,206 |
$61K |
| 97112 |
|
2,911 |
893 |
$56K |
| 97530 |
|
2,447 |
967 |
$50K |
| 76536 |
|
376 |
354 |
$49K |
| 87400 |
|
3,167 |
2,857 |
$41K |
| 70553 |
|
98 |
93 |
$40K |
| 59025 |
|
327 |
255 |
$37K |
| 70551 |
|
114 |
110 |
$36K |
| 71046 |
|
6,863 |
6,239 |
$32K |
| 87651 |
|
5,425 |
5,107 |
$29K |
| 83880 |
|
2,818 |
2,498 |
$25K |
| 87040 |
|
2,571 |
1,700 |
$25K |
| 96374 |
|
13,058 |
11,035 |
$19K |
| 45380 |
|
26 |
25 |
$18K |
| 87635 |
|
213 |
191 |
$18K |
| 80329 |
|
1,424 |
1,139 |
$17K |
| 85025 |
|
30,363 |
23,712 |
$17K |
| 93000 |
|
11,455 |
10,010 |
$16K |
| 97161 |
|
188 |
175 |
$16K |
| 85379 |
|
2,805 |
2,539 |
$15K |
| 97162 |
|
61 |
61 |
$15K |
| 80048 |
|
3,309 |
2,560 |
$14K |
| 71045 |
|
9,148 |
8,208 |
$14K |
| 99281 |
|
111 |
92 |
$13K |
| 76815 |
|
203 |
189 |
$13K |
| 84484 |
|
10,403 |
7,544 |
$13K |
| 73564 |
|
1,265 |
1,090 |
$12K |
| 94640 |
|
287 |
158 |
$12K |
| 97535 |
|
262 |
231 |
$11K |
| 87591 |
|
1,482 |
1,357 |
$11K |
| 86850 |
|
1,450 |
1,298 |
$11K |
| 93017 |
|
66 |
62 |
$10K |
| 72125 |
|
292 |
269 |
$7K |
| 93970 |
|
54 |
51 |
$7K |
| 74018 |
|
1,681 |
1,528 |
$7K |
| A9270 |
Non-covered item or service |
66,636 |
26,773 |
$7K |
| 96372 |
|
6,856 |
4,531 |
$6K |
| 12001 |
|
27 |
27 |
$6K |
| 80061 |
|
1,268 |
1,125 |
$5K |
| 76870 |
|
45 |
41 |
$5K |
| 71250 |
|
54 |
52 |
$5K |
| 83735 |
|
14,043 |
11,186 |
$5K |
| 84443 |
|
1,334 |
1,170 |
$4K |
| 96375 |
|
10,763 |
8,328 |
$4K |
| 73721 |
|
13 |
13 |
$4K |
| 73030 |
|
578 |
521 |
$4K |
| 36415 |
|
2,788 |
2,181 |
$4K |
| J1650 |
Inj enoxaparin sodium |
3,203 |
1,502 |
$4K |
| 72110 |
|
367 |
339 |
$4K |
| 72100 |
|
634 |
584 |
$4K |
| 83605 |
|
3,349 |
2,608 |
$4K |
| 87428 |
|
4,276 |
4,022 |
$4K |
| 84703 |
|
8,253 |
7,238 |
$4K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
8,561 |
7,090 |
$3K |
| 71260 |
|
13 |
12 |
$3K |
| 76937 |
|
43 |
36 |
$3K |
| 83690 |
|
10,091 |
8,620 |
$3K |
| C9803 |
Hopd covid-19 spec collect |
207 |
192 |
$3K |
| J3490 |
Drugs unclassified injection |
7,173 |
4,104 |
$3K |
| 72141 |
|
13 |
13 |
$3K |
| 96376 |
|
4,275 |
2,600 |
$3K |
| 81001 |
|
12,504 |
11,002 |
$3K |
| 90471 |
|
431 |
359 |
$2K |
| 87086 |
|
5,245 |
4,723 |
$2K |
| 73630 |
|
837 |
763 |
$2K |
| 82948 |
|
7,773 |
3,603 |
$2K |
| 96367 |
|
69 |
55 |
$2K |
| J2405 |
Ondansetron hcl injection |
13,073 |
10,117 |
$2K |
| 84702 |
|
1,962 |
1,567 |
$2K |
| 80306 |
|
2,448 |
2,152 |
$2K |
| 88305 |
|
1,616 |
1,498 |
$2K |
| 73610 |
|
856 |
778 |
$2K |
| 86900 |
|
3,052 |
2,445 |
$2K |
| 80320 |
|
2,052 |
1,806 |
$2K |
| 86901 |
|
3,051 |
2,445 |
$2K |
| 87491 |
|
1,429 |
1,309 |
$2K |
| 85027 |
|
2,224 |
1,813 |
$2K |
| 85610 |
|
6,132 |
4,850 |
$2K |
| J7120 |
Ringers lactate infusion |
5,400 |
4,254 |
$1K |
| 81025 |
|
3,361 |
3,057 |
$1K |
| 73130 |
|
460 |
419 |
$1K |
| 72050 |
|
114 |
99 |
$1K |
| 83036 |
|
703 |
625 |
$1K |
| 93005 |
|
2,471 |
1,996 |
$1K |
| 81003 |
|
8,375 |
7,431 |
$952.86 |
| 82330 |
|
844 |
683 |
$876.90 |
| 82565 |
|
1,950 |
1,813 |
$875.24 |
| 87807 |
|
996 |
907 |
$860.30 |
| J1885 |
Ketorolac tromethamine inj |
8,427 |
6,149 |
$799.23 |
| 73502 |
|
105 |
96 |
$710.46 |
| 87426 |
|
1,239 |
1,088 |
$651.10 |
| 82550 |
|
607 |
528 |
$547.73 |
| U0002 |
Covid-19 lab test non-cdc |
42 |
37 |
$524.02 |
| 85018 |
|
1,003 |
784 |
$500.10 |
| U0005 |
Infec agen detec ampli probe |
1,349 |
1,251 |
$477.15 |
| 73110 |
|
116 |
100 |
$469.74 |
| J1100 |
Dexamethasone sodium phos |
4,457 |
3,544 |
$433.77 |
| J3010 |
Fentanyl citrate injection |
4,170 |
3,346 |
$398.36 |
| J2270 |
Morphine sulfate injection |
4,482 |
3,381 |
$374.90 |
| 85007 |
|
1,110 |
963 |
$364.70 |
| 86140 |
|
165 |
135 |
$322.81 |
| Q0162 |
Ondansetron oral |
607 |
517 |
$322.49 |
| J1170 |
Hydromorphone injection |
3,660 |
2,484 |
$319.65 |
| 90715 |
|
13 |
12 |
$302.61 |
| 87210 |
|
925 |
823 |
$294.61 |
| 84132 |
|
894 |
674 |
$291.45 |
| 85014 |
|
485 |
364 |
$258.88 |
| J2250 |
Inj midazolam hydrochloride |
2,969 |
2,304 |
$244.96 |
| 72040 |
|
16 |
15 |
$227.29 |
| 86308 |
|
1,041 |
977 |
$218.73 |
| J1200 |
Diphenhydramine hcl injectio |
2,376 |
1,961 |
$212.59 |
| J0696 |
Ceftriaxone sodium injection |
2,844 |
2,019 |
$205.67 |
| J2704 |
Inj, propofol, 10 mg |
5,661 |
4,402 |
$192.83 |
| J3370 |
Vancomycin hcl injection |
81 |
39 |
$178.78 |
| 90686 |
|
16 |
13 |
$172.76 |
| 72072 |
|
39 |
37 |
$169.21 |
| 82803 |
|
699 |
571 |
$162.46 |
| 87186 |
|
942 |
851 |
$149.78 |
| 87641 |
|
17 |
17 |
$145.28 |
| J0690 |
Cefazolin sodium injection |
1,987 |
1,462 |
$117.89 |
| 87088 |
|
861 |
776 |
$112.78 |
| 84439 |
|
27 |
24 |
$108.22 |
| 82947 |
|
734 |
609 |
$107.38 |
| J7512 |
Prednisone ir or dr oral 1mg |
1,380 |
1,148 |
$95.81 |
| J2060 |
Lorazepam injection |
756 |
587 |
$91.88 |
| J7070 |
D5w infusion |
421 |
249 |
$85.73 |
| 93010 |
|
12 |
12 |
$83.30 |
| J2550 |
Promethazine hcl injection |
1,001 |
752 |
$81.34 |
| 85651 |
|
88 |
68 |
$76.10 |
| J3475 |
Inj magnesium sulfate |
625 |
524 |
$74.14 |
| S0119 |
Ondansetron 4 mg |
82 |
69 |
$71.38 |
| J0780 |
Prochlorperazine injection |
717 |
650 |
$65.37 |
| 71101 |
|
15 |
13 |
$64.57 |
| 82728 |
|
15 |
13 |
$64.20 |
| 85730 |
|
190 |
161 |
$62.62 |
| J1644 |
Inj heparin sodium per 1000u |
878 |
355 |
$57.88 |
| 85652 |
|
76 |
64 |
$45.84 |
| 88342 |
|
53 |
50 |
$23.78 |
| J2765 |
Metoclopramide hcl injection |
446 |
360 |
$20.35 |
| J2001 |
Lidocaine injection |
162 |
134 |
$19.46 |
| J2930 |
Methylprednisolone injection |
183 |
147 |
$18.18 |
| 84295 |
|
240 |
196 |
$17.17 |
| J7030 |
Normal saline solution infus |
223 |
147 |
$16.91 |
| Q0163 |
Diphenhydramine hcl 50mg |
150 |
119 |
$16.12 |
| 82570 |
|
12 |
12 |
$13.01 |
| J2272 |
Inj, morphine (fresenius) |
228 |
197 |
$12.46 |
| J7510 |
Prednisolone oral per 5 mg |
313 |
298 |
$10.96 |
| J7040 |
Normal saline solution infus |
59 |
33 |
$4.36 |
| J0330 |
Succinycholine chloride inj |
42 |
37 |
$3.58 |
| J0360 |
Hydralazine hcl injection |
47 |
38 |
$2.01 |
| A9585 |
Gadobutrol injection |
353 |
334 |
$1.02 |
| J7050 |
Normal saline solution infus |
17 |
12 |
$0.69 |
| J2370 |
Phenylephrine hcl injection |
67 |
57 |
$0.51 |
| J0131 |
Inj, acetaminophen (nos) |
646 |
500 |
$0.00 |
| 85008 |
|
52 |
44 |
$0.00 |
| J1790 |
Droperidol injection |
25 |
25 |
$0.00 |
| 87077 |
|
12 |
12 |
$0.00 |
| 87205 |
|
29 |
25 |
$0.00 |
| J1642 |
Inj heparin sodium per 10 u |
33 |
12 |
$0.00 |
| J8540 |
Oral dexamethasone |
14 |
13 |
$0.00 |
| J2371 |
Inj phenylephrine hcl 20 mcg |
41 |
30 |
$0.00 |
| 0352U |
|
14 |
14 |
$0.00 |
| 86780 |
|
15 |
14 |
$0.00 |
| 81015 |
|
44 |
36 |
$0.00 |
| G1004 |
Cdsm ndsc |
1,225 |
919 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
346 |
277 |
$0.00 |
| J0136 |
Inj, acetaminophen (b braun) |
16 |
12 |
$0.00 |
| J1171 |
Inj, hydromorphone, 0.1 mg |
99 |
51 |
$0.00 |
| 73590 |
|
15 |
13 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
15 |
14 |
$0.00 |